Malloney, Stephen James
Malloney, Stephen James is an individual health care provider with primary practice located at 134 Medical Park Rd Ste 100 , Mooresville NC 28117-8527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Malloney, Stephen James can be contacted via phone (704) 662-0106.Contact Information
Primary practice address
134 Medical Park Rd Ste 100
Mooresville NC 28117-8527
Phone: (704) 662-0106
Fax: (808) 290-6369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 990 | South Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2015-01843 | North Carolina |
Profile Details
| NPI number | 1083783245 |
|---|---|
| LBN Legal business name | Malloney, Stephen James |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Aug 15th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083783245 | NPPES |
| South Carolina | MEDICAID | GP4505 |
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